Ibrahim Umar, Wan-Puteh Sharifa Ezat
Department of Community Health, Faculty of Medicine, University of Kebangsaan, Bandar,Tun Razak, Jalan Yacoob Latif, 56000 Cheras, Malaysia.
Pan Afr Med J. 2018 Jun 20;30:150. doi: 10.11604/pamj.2018.30.150.15851. eCollection 2018.
This study sets out to assess the roles of Civil Society Organizations (CSOs) in post donor health project sustainability in Low and Middle Income Countries (LMICs), the case of the Bauchi State, Nigeria. This study equally investigated the CSOs strategies and roles in health project sustainability.
For quantitative data collection, the random, purposive, and convenient sampling techniques were used and 156 respondents selected from relevant organizations operating in Bauchi state, Nigeria, and 15 respondents for Key Informant Interviews (KIIs). A Semi-structured questionnaire was the study instrument, and consent from the participants as well as ethical clearances were duly obtained.
The study revealed that 87.8% of the respondents indicate un-friendly operational policies, while 88.9% of them identified lack of resources (human, money and machineries) as impediments to project sustainability. Also, 74.3% of the respondents said partnership among key stakeholders and 86.6% of them affirmed that community participation and use of available (local) resources ensure health project sustainability. The study further revealed that CSOs fund health projects, support government efforts and encourage development of project sustainability road map in the state.
Hence, health project sustainability plan should form part of a project right from inception through the donor period and thereafter. In addition to the above, internal income framework, community involvement, enabling policies and partnership among stakeholders, especially with the host government, should always guide project implementation, because without these in place, project sustainability will remain a mirage.
本研究旨在评估民间社会组织（CSO）在低收入和中等收入国家（LMIC）捐赠后卫生项目可持续性中的作用，以尼日利亚包奇州为例。本研究还调查了民间社会组织在卫生项目可持续性方面的策略和作用。
在定量数据收集方面，采用了随机、立意和便利抽样技术，从尼日利亚包奇州运营的相关组织中选取了156名受访者，并对15名关键信息提供者进行了访谈（KII）。研究工具为半结构化问卷，并 duly获得了参与者的同意以及伦理批准。
研究显示，87.8%的受访者指出运营政策不友好，而88.9%的受访者认为缺乏资源（人力、资金和设备）是项目可持续性的障碍。此外，74.3%的受访者表示关键利益相关者之间的伙伴关系，86.6%的受访者肯定社区参与和利用现有（当地）资源可确保卫生项目的可持续性。研究还进一步表明，民间社会组织为卫生项目提供资金，支持政府工作，并鼓励制定该州项目可持续性路线图。
因此，卫生项目可持续性计划应从项目启动到捐赠期及之后都成为项目的一部分。除此之外，内部收入框架、社区参与、有利政策以及利益相关者之间的伙伴关系，特别是与东道国政府的伙伴关系，应始终指导项目实施，因为没有这些，项目可持续性将只是海市蜃楼。
